Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global…

Overview of attention for article published in The Lancet, June 2015
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Title
Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013
Published in
The Lancet, June 2015
DOI 10.1016/s0140-6736(15)60692-4
Pubmed ID
Authors

, , Global Burden of Disease Study 2013 Collaborators, Theo Vos, Ryan M Barber, Brad Bell, Amelia Bertozzi-Villa, Stan Biryukov, Ian Bolliger, Fiona Charlson, Adrian Davis, Louisa Degenhardt, Daniel Dicker, Leilei Duan, Holly Erskine, Valery L Feigin, Alize J Ferrari, Christina Fitzmaurice, Thomas Fleming, Nicholas Graetz, Caterina Guinovart, Juanita Haagsma, Gillian M Hansen, Sarah Wulf Hanson, Kyle R Heuton, Hideki Higashi, Nicholas Kassebaum, Hmwe Kyu, Evan Laurie, Xiofeng Liang, Katherine Lofgren, Rafael Lozano, Michael F MacIntyre, Maziar Moradi-Lakeh, Mohsen Naghavi, Grant Nguyen, Shaun Odell, Katrina Ortblad, David Allen Roberts, Gregory A Roth, Logan Sandar, Peter T Serina, Jeffrey D Stanaway, Caitlyn Steiner, Bernadette Thomas, Stein Emil Vollset, Harvey Whiteford, Timothy M Wolock, Pengpeng Ye, Maigeng Zhou, Marco A Ãvila, Gunn Marit Aasvang, Cristiana Abbafati, Ayse Abbasoglu Ozgoren, Foad Abd-Allah, Muna I Abdel Aziz, Semaw F Abera, Victor Aboyans, Jerry P Abraham, Biju Abraham, Ibrahim Abubakar, Laith J Abu-Raddad, Niveen ME Abu-Rmeileh, Tania C Aburto, Tom Achoki, Ilana N Ackerman, Ademola Adelekan, Zanfina Ademi, Arsène K Adou, Josef C Adsuar, Johan Arnlov, Emilie E Agardh, Mazin J Al Khabouri, Sayed Saidul Alam, Deena Alasfoor, Mohammed I Albittar, Miguel A Alegretti, Alicia V Aleman, Zewdie A Alemu, Rafael Alfonso-Cristancho, Samia Alhabib, Raghib Ali, Francois Alla, Peter Allebeck, Peter J Allen, Mohammad AbdulAziz AlMazroa, Ubai Alsharif, Elena Alvarez, Nelson Alvis-Guzman, Omid Ameli, Heresh Amini, Walid Ammar, Benjamin O Anderson, H. Ross Anderson, Carl Abelardo T Antonio, Palwasha Anwari, Henry Apfel, Valentain S Arsic Arsenijevic, Al Artaman, Rana J Asghar, Reza Assadi, Lydia S Atkins, Charles Atkinson, Alaa Badawi, Maria C Bahit, Talal Bakfalouni, Kalpana Balakrishnan, Shivanthi Balalla, Amitava Banerjee, Suzanne L Barker-Collo, Simon Barquera, Lars Barregard, Lope H Barrero, Sanjay Basu, Arindam Basu, Amanda Baxter, Justin Beardsley, Neeraj Bedi, Ettore Beghi, Tolesa Bekele, Michelle L Bell, Corina Benjet, Derrick A Bennett, Isabela M Bensenor, Habib Benzian, Eduardo Bernabe, Tariku J Beyene, Neeraj Bhala, Ashish Bhalla, Zulfiqar Bhutta, Kelly Bienhoff, Boris Bikbov, Aref Bin Abdulhak, Jed D Blore, Fiona M Blyth, Megan A Bohensky, Berrak Bora Basara, Guilherme Borges, Natan M Bornstein, Dipan Bose, Soufiane Boufous, Rupert R Bourne, Lindsay N Boyers, Michael Brainin, Michael Brauer, Carol EG Brayne, Alexandra Brazinova, Nicholas JK Breitborde, Hermann Brenner, Adam DM Briggs, Peter M Brooks, Jonathan Brown, Traolach S Brugha, Rachelle Buchbinder, Geoffrey C Buckle, Gene Bukhman, Andrew G Bulloch, Michael Burch, Richard Burnett, Rosario Cardenas, Norberto L Cabral, Ismael R Campos Nonato, Julio C Campuzano, Jonathan R Carapetis, David O Carpenter, Valeria Caso, Carlos A Castaneda-Orjuela, Ferran Catala-Lopez, Vineet K Chadha, Jung-Chen Chang, Honglei Chen, Wanqing Chen, Peggy P Chiang, Odgerel Chimed-Ochir, Rajiv Chowdhury, Hanne Christensen, Costas A Christophi, Sumeet S Chugh, Massimo Cirillo, Megan Coggeshall, Aaron Cohen, Valentina Colistro, Samantha M Colquhoun, Alejandra G Contreras, Leslie T Cooper, Cyrus Cooper, Kimberly Cooperrider, Josef Coresh, Monica Cortinovis, Michael H Criqui, John A Crump, Lucia Cuevas-Nasu, Rakhi Dandona, Lalit Dandona, Emily Dansereau, Hector G Dantes, Paul I Dargan, Gail Davey, Dragos V Davitoiu, Anand Dayama, Vanessa De la Cruz-Gongora, Shelley F de la Vega, Diego De Leo, Borja del Pozo-Cruz, Robert P Dellavalle, Kebede Deribe, Sarah Derrett, Don C Des Jarlais, Muluken Dessalegn, Gabrielle A deVeber, Samath D Dharmaratne, Cesar Diaz-Torne, Eric L Ding, Klara Dokova, E R Dorsey, Tim R Driscoll, Herbert Duber, Adnan M Durrani, Karen M Edmond, Richard G Ellenbogen, Matthias Endres, Sergey P Ermakov, Babak Eshrati, Alireza Esteghamati, Kara Estep, Saman Fahimi, Farshad Farzadfar, Derek FJ Fay, David T Felson, Seyed-Mohammad Fereshtehnejad, Jefferson G Fernandes, Cluesa P Ferri, Abraham Flaxman, Nataliya Foigt, Kyle J Foreman, F Gerry R Fowkes, Richard C Franklin, Thomas Furst, Neal D Futran, Belinda J Gabbe, Fortune G Gankpe, Francisco A Garcia-Guerra, Johanna M Geleijnse, Bradford D Gessner, Katherine B Gibney, Richard F Gillum, Ibrahim A Ginawi, Maurice Giroud, Giorgia Giussani, Shifalika Goenka, Ketevan Goginashvili, Philimon Gona, Teresita Gonzalez de Cosio, Richard A Gosselin, Carolyn C Gotay, Atsushi Goto, Hebe N Gouda, Richard l Guerrant, Harish C Gugnani, David Gunnell, Rajeev Gupta, Rahul Gupta, Reyna A Gutierrez, Nima Hafezi-Nejad, Holly Hagan, Yara Halasa, Randah R Hamadeh, Hannah Hamavid, Mouhanad Hammami, Graeme J Hankey, Yuantao Hao, Hilda L Harb, Josep Maria Haro, Rasmus Havmoeller, Roderick J Hay, Simon Hay, Mohammad T Hedayati, Ileana B Heredia Pi, Pouria Heydarpour, Martha Hijar, Hans W Hoek, Howard J Hoffman, John C Hornberger, H. 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Abstract

Up-to-date evidence about levels and trends in disease and injury incidence, prevalence, and years lived with disability (YLDs) is an essential input into global, regional, and national health policies. In the Global Burden of Disease Study 2013 (GBD 2013), we estimated these quantities for acute and chronic diseases and injuries for 188 countries between 1990 and 2013. Estimates were calculated for disease and injury incidence, prevalence, and YLDs using GBD 2010 methods with some important refinements. Results for incidence of acute disorders and prevalence of chronic disorders are new additions to the analysis. Key improvements include expansion to the cause and sequelae list, updated systematic reviews, use of detailed injury codes, improvements to the Bayesian meta-regression method (DisMod-MR), and use of severity splits for various causes. An index of data representativeness, showing data availability, was calculated for each cause and impairment during three periods globally and at the country level for 2013. In total, 35 620 distinct sources of data were used and documented to calculated estimates for 301 diseases and injuries and 2337 sequelae. The comorbidity simulation provides estimates for the number of sequelae, concurrently, by individuals by country, year, age, and sex. Disability weights were updated with the addition of new population-based survey data from four countries. Disease and injury were highly prevalent; only a small fraction of individuals had no sequelae. Comorbidity rose substantially with age and in absolute terms from 1990 to 2013. Incidence of acute sequelae were predominantly infectious diseases and short-term injuries, with over 2 billion cases of upper respiratory infections and diarrhoeal disease episodes in 2013, with the notable exception of tooth pain due to permanent caries with more than 200 million incident cases in 2013. Conversely, leading chronic sequelae were largely attributable to non-communicable diseases, with prevalence estimates for asymptomatic permanent caries and tension-type headache of 2·4 billion and 1·6 billion, respectively. The distribution of the number of sequelae in populations varied widely across regions, with an expected relation between age and disease prevalence. YLDs for both sexes increased from 537·6 million in 1990 to 764·8 million in 2013 due to population growth and ageing, whereas the age-standardised rate decreased little from 114·87 per 1000 people to 110·31 per 1000 people between 1990 and 2013. Leading causes of YLDs included low back pain and major depressive disorder among the top ten causes of YLDs in every country. YLD rates per person, by major cause groups, indicated the main drivers of increases were due to musculoskeletal, mental, and substance use disorders, neurological disorders, and chronic respiratory diseases; however HIV/AIDS was a notable driver of increasing YLDs in sub-Saharan Africa. Also, the proportion of disability-adjusted life years due to YLDs increased globally from 21·1% in 1990 to 31·2% in 2013. Ageing of the world's population is leading to a substantial increase in the numbers of individuals with sequelae of diseases and injuries. Rates of YLDs are declining much more slowly than mortality rates. The non-fatal dimensions of disease and injury will require more and more attention from health systems. The transition to non-fatal outcomes as the dominant source of burden of disease is occurring rapidly outside of sub-Saharan Africa. Our results can guide future health initiatives through examination of epidemiological trends and a better understanding of variation across countries. Bill & Melinda Gates Foundation.

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Geographical breakdown

Country Count As %
United States 18 3%
United Kingdom 10 1%
Brazil 6 <1%
Spain 5 <1%
France 4 <1%
Netherlands 4 <1%
Canada 3 <1%
Germany 2 <1%
Italy 2 <1%
Other 24 3%
Unknown 640 89%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 157 22%
Student > Master 131 18%
Researcher 122 17%
Student > Bachelor 80 11%
Other 59 8%
Other 169 24%
Readers by discipline Count As %
Medicine and Dentistry 363 51%
Agricultural and Biological Sciences 101 14%
Psychology 38 5%
Social Sciences 33 5%
Engineering 25 3%
Other 158 22%

Attention Score in Context

This research output has an Altmetric Attention Score of 2152. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 24 March 2017.
All research outputs
#191
of 7,433,278 outputs
Outputs from The Lancet
#10
of 21,998 outputs
Outputs of similar age
#6
of 217,312 outputs
Outputs of similar age from The Lancet
#1
of 494 outputs
Altmetric has tracked 7,433,278 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 21,998 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 25.5. This one has done particularly well, scoring higher than 99% of its peers.
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We're also able to compare this research output to 494 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 99% of its contemporaries.